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Individual

MR. JOHN M. WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
9362 TEDDY LN STE 206, LONE TREE, CO 80124-2871
(303) 891-4891
(303) 705-8039
Mailing address
9362 TEDDY LN STE 206, LONE TREE, CO 80124-2871
(720) 838-0450
(303) 705-8039

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1350
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
3892
CO
101YP2500X
Professional Counselor
Primary
1350
CO

Other

Enumeration date
08/24/2007
Last updated
01/14/2025
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